14-101751r
ARRIlicant
City of Federal Way
COLLEEN SHODA
Community & Econ. Dev. Services
33325 8th Ave S
COLLEEN SHODA
Federal Way, WA 98003
F1
Ph: (253) 835-2807 Fax: (253) 835-2809
FEDERAL WAY WA 98003
Project Name: SHODA
FEDERAL WAY WA 98003
Project Address: 717 S 313TH ST
' Electrical
Permit #: 14-101751-00-E L 4
Inspection Request Line: (253) 835-3050
Parcel Number: 555960 0120
Project Description: Install new electrical for addition. Homeowner is starting over with the electrical work.
Owne
ARRIlicant
Contractor
COLLEEN SHODA
COLLEEN SHODA
COLLEEN SHODA
717S313THST
717S313THST
717S313THST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Is Use Educational or Institutional?.......................No
No Fixtures Associated With This Permit It
PERMIT EXPIRES Monday, October 13, 2014
Permit Issued on Wednesday, April 16, 2014
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
!� e
Owner or agent: ` �% �� �- Date: 4 --1;6 'i —
THIS CARD IS TO REMAIN ON-SIT,E
Federal Way Construction InspectioMY . .4 A-1� n Record
ECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -101751 -00 -EL Address: 717 S 313TH ST
Project: COLLEEN SHODA FEDERAL WAY, WA 98003-5265
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0
UFER Ground (4295)
Ditch cover
By
Approved
Approved
By
Date
By
Date
Feeders/Sub-panels (4045)
Approved
By Date
0 Final - Electrical (4055)
Approved
By " Date 1. 1 I I y
Approved to place concrete
By Date
Rough Electrical (4225)
Approved
By L+Date
11
Service (4235)
Approved
By
Date
0
Ceiling Cover (4020)
Approved
By
Date
Feeders/Sub-panels (4045)
Approved
By Date
0 Final - Electrical (4055)
Approved
By " Date 1. 1 I I y
Approved to place concrete
By Date
Rough Electrical (4225)
Approved
By L+Date
11
Rough Electrical
Approved
n
Final Electrical
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
0
at ,y R
ELECTRICAL
Federal Way APR R PERMIT APPLICATION
CM OF F�a�RA� WAY
PERMIT NUMBER —I#— —/_0 j ?�� t — —Do
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned„ and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE: i �DATE
PRINT NAME:
Bulletin #160 —January 1, 2013 Page 1 of 2 Ul-landoutsUectrical Permit Application
SUITEtUNITJSPACE #
SITE ADDRESS: —T 1 `7 -3 13-T4+ -4L— WAY
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
, —0 0 . X19%
_
PROJECT NAME f �tV P,--
(T'enant or Homeowner Last Name)
W j
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
.;4'0 -PA
PRIMARY PHONE
(17?53) AGI ?�-
MAILING ADDRESS
°7 1 `7
E-MAU.
CITY j } }
STATE
ZIP
FAX
NAME
t PRIMARY PHONE
1
MAILING ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
Utz-( t�
PRIMARY PHONE
(7-53) 39e- 5-,7 5-3
MAILINGDSS 3 73r �i
EMAIL
CITY
rvn Wil, tv P<
STATE
lav k
ZIP
1' �,O(9-3
FAX
( ) —
PROJECT CONTACT
NAME
P4 ) um
PRIMARY PHONE
(2l7 (o) ?1q o _ +-2-3, j
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned„ and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE: i �DATE
PRINT NAME:
Bulletin #160 —January 1, 2013 Page 1 of 2 Ul-landoutsUectrical Permit Application